K12 Teacher Raku Workshop Registration "*" indicates required fields Name* First Last Mailing Address* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone*Email* School Name*Please list the name of the Maine-based school or institution where you currently teach. Dietary Needs*Watershed will provide a light breakfast and lunch for all workshop participants. Please let us know if you are vegetarian or gluten free. If you have additional dietary restrictions, you may bring and store supplemental food in Watershed's studio refrigerator. I don't have any dietary needs or restrictions. Vegetarian Gluten Free Additional InformationIf you wish, please use the space below to share any information pertaining to your wellbeing that Watershed staff should be aware of prior to the workshop. This could include dietary information, accessibility needs, etc. PermissionsPhoto Release*I agree to grant Watershed Center for the Ceramic Arts and its authorized representatives permission to record my likeness and images of my work during the time that I am in residence. I further agree that any or all of the recorded material may be used, in any form, as part of publications, videos, brochures, advertisements or other digital or printed materials used to promote Watershed. I acknowledge that since the use of my likeness and my work is voluntary, I will receive no financial compensation. Agree Decline Email Address Release*I grant Watershed Center for the Ceramic Arts permission to share my e-mail address with the teaching artist and other participants in the workshop. Agree Decline Liability Waiver*Please read Watershed's Liability Waiver, and check the box below to indicate your voluntary agreement. If you have any questions regarding the Liability Waiver, you may email Watershed's Executive Director at director@watershedceramics.org. By checking this box, I indicate that I have read the entire Liability Waiver, I fully understand it, I am agreeing to it voluntarily and I agree to be legally bound by it. COVID Guidelines*Watershed has guidelines in place to help mitigate the spread of COVID. Please review the guidelines linked on the workshop page and click the box below to agree to follow them. Agree Workshop Registration* Price: Δ